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  • Incident Report

  • All incidents must immediately be reported to a senior member of staff onsite, to your local on call or to the Head Office Out of Hours service.

     

    As soon as possible following the incident, and within 24 hours at the latest, an incident report must be completed that describes the incident in detail, along with any actions that were taken in response.

     

    The incident report should be completed by the person(s) with the most first-hand knowledge - i.e. those involved in the incident, or those who witnessed it.

  • This form is for reporting incidents that have occurred in relation to Creative Support services.  Information submitted here will be notified to the senior staff for the relevant service, and Head Office.

     

    DO NOT USE THIS FORM FOR WHISTLEBLOWING, MAKING A COMPLAINT ABOUT A CREATIVE SUPPORT EMPLOYEE, OR REPORTING A CODE RED CONCERN.

    IF YOU WISH TO REPORT A CONCERN ABOUT A MANAGER CONFIDENTIALLY, YOU CAN CALL THE WHISTLEBLOWING LINE ON 0161 238 7657 or 0161 236 0829

  • To report a Complex Care Behavioural Event, please click here

  • Section One - Details of the Incident

  • Only services listed on the menu below are eligible to use this form.  If you are reporting for a service not listed below, please use a standard Creative Support incident report form and send it by email to incidents@creativesupport.co.uk

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  • Employee numbers are recommended to record but are NOT essential

  • Section Two - Categorisation

  • Examples of an expected Service User death include those on end of life care, or those seriously ill in hopsital

    An unexpected death might be due to suicide, accident, an unknown or undiagnosed illness

  • After submitting this form, please also complete an Accident Form / Log

  • All medication errors must be reported to a senior member of staff, duty manager, local on call or the Out of Hours service immediately. Medical advice should always be sought following a medication error, either from the prescriber, a health professional (such as a Nurse or GP), Pharmacist, 111 or if there are serious and immediate health concerns by contacting 999.

  • The next question is about the type of data breach that has occured. This refers to the form the data was in when the incident occurred. To assist in selecting the correct type, here are some examples:

     

    Digital - e.g. Hacking, Virus, Ransomware, file corruption etc.

    Email - e.g. sent to wrong person etc.

    Electronics - e.g. lost laptop, phone, USB etc.

    Verbal - e.g. wrong information given over the phone etc.

    Paper - e.g. lost or misplaced file etc.

     

    Please note that this list is not exhaustive. Choose the best option that fits your situation

  • Section Three - Factual and Objective Report of the Incident and Actions Taken

  • Section Four - Immediate Follow Up Actions & Reporting

  • If you have not yet reported this incident to a manager please do so now. If a manager is not available locally please call your local on-call or Head Office on 0161 236 0829

  • Section Five - Final Steps

  • After you click the submit button below, you will be emailed a copy of this form as a PDF. Please provide the email address you would like this sent to.  This can be either your personal work email, or the email for the site where you work.  Your managers will be notified automatically.

    This must be a Creative Support email address.

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  • After submitting this form, please also complete an Accident Form / Log

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